Takotsubo syndrome triggered by a pleasant emotional event: a case report

Eder Jonathan Amaro-Palomo; Myles Andrew Laurence-Salinas; Santiago Alba-Valencia; Diego Araiza-Garaygordobil

doi:10.47487/apcyccv.v6i3.500

Autores/as

Eder Jonathan Amaro-Palomo Coronary Care Unit, Instituto Nacional de Cardiología «Ignacio Chávez», Mexico City, Mexico. https://orcid.org/0009-0007-2946-4668
Myles Andrew Laurence-Salinas Coronary Care Unit, Instituto Nacional de Cardiología «Ignacio Chávez», Mexico City, Mexico. https://orcid.org/0009-0008-4294-0400
Santiago Alba-Valencia Coronary Care Unit, Instituto Nacional de Cardiología «Ignacio Chávez», Mexico City, Mexico. https://orcid.org/0009-0002-7696-6760
Diego Araiza-Garaygordobil Coronary Care Unit, Instituto Nacional de Cardiología «Ignacio Chávez», Mexico City, Mexico. https://orcid.org/0000-0003-3185-0051

DOI:

https://doi.org/10.47487/apcyccv.v6i3.500

Palabras clave:

Takotsubo Syndrome, Apical Ballooning Syndrome, Cardiology, Case Report

Resumen

Takotsubo Syndrome (TTS) is characterized by transient left ventricular dysfunction, often triggered by emotional or physical stress. While negative emotional events are common triggers, positive emotional events can also induce a rare variant known as Happy Heart Syndrome (HHS). This case report describes a 53-year-old male who presented with acute chest pain following a positive emotional stimulus: a birthday call offering him an opportunity to play with his favorite music group. Initial workup suggested an acute myocardial infarction, but coronary angiography revealed no obstruction. Left ventriculography showed the classic apical ballooning pattern of TTS. The patient was diagnosed with HHS. This case underscores the importance of considering positive emotional triggers in the diagnosis of TTS and highlights the need for further research into its diverse presentations and management strategies.

Descargas

Los datos de descarga aún no están disponibles.

Referencias

Singh T, Khan H, Gamble DT, Scally C, Newby DE, Dawson D. Takotsubo Syndrome: Pathophysiology, Emerging Concepts, and Clinical Implications. Circulation. 2022;145(13):1002-1019. doi: 10.1161/ CIRCULATIONAHA.121.055854.

Saposnik G, Baibergenova A, Dang J, Hachinski V. Does a birthday predispose to vascular events? Neurology. 2006;67(2):300-4. doi: 10.1212/01.wnl.0000217915.06544.aa.

Stiermaier T, Walliser A, El-Battrawy I, Pätz T, Mezger M, Rawish E, et al. Happy Heart Syndrome: Frequency, Characteristics, and Outcome of Takotsubo Syndrome Triggered by Positive Life Events. JACC Heart Fail. 2022;10(7):459-466. doi: 10.1016/j.jchf.2022.02.015.

Akashi YJ, Goldstein DS, Barbaro G, Ueyama T. Takotsubo cardiomyopathy: a new form of acute, reversible heart failure. Circulation. 2008;118(25):2754-62. doi: 10.1161/CIRCULATIONAHA.108.767012.

Lyon AR, Bossone E, Schneider B, Sechtem U, Citro R, Underwood SR, et al. Current state of knowledge on Takotsubo syndrome: a Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2016;18(1):8-27. doi: 10.1002/ejhf.424.

Lyon AR, Citro R, Schneider B, Morel O, Ghadri JR, Templin C, Omerovic E. Pathophysiology of Takotsubo Syndrome: JACC State-of-theArt Review. J Am Coll Cardiol. 2021;77(7):902-921. doi: 10.1016/j. jacc.2020.10.060.

Ghadri JR, Sarcon A, Diekmann J, Bataiosu DR, Cammann VL, Jurisic S, et al. InterTAK Co-investigators:. Happy heart syndrome: role of positive emotional stress in takotsubo syndrome. Eur Heart J. 2016;37(37):2823-2829. doi: 10.1093/eurheartj/ehv757.

Templin C, Ghadri JR, Diekmann J, Napp LC, Bataiosu DR, Jaguszewski M, et al. Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. N Engl J Med. 2015;373(10):929-38. doi: 10.1056/ NEJMoa1406761.

Ghadri JR, Wittstein IS, Prasad A, Sharkey S, Dote K, Akashi YJ, et al. International Expert Consensus Document on Takotsubo Syndrome (Part II): Diagnostic Workup, Outcome, and Management. Eur Heart J. 2018;39(22):2047-2062. doi: 10.1093/eurheartj/ehy077.

Padilla-Lopez M, Duran-Cambra A, Belmar-Cliville D, Soriano-Amores M, Arakama-Goikoetxea S, Vila-Perales M, et al. Comparative electrocardiographic analysis of midventricular and typical takotsubo syndrome. Front Cardiovasc Med. 2023;10:1286975. doi: 10.3389/fcvm.2023.1286975.